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KMID : 1084220230300040268
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Journal of Rheumatic Diseases
2023 Volume.30 No. 4 p.268 ~ p.271
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Recurrent focal myofasciitis of Behcet syndrome mimics infectious myofasciitis: a case report
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Chung Sang-Wan
Lee Joo-Ho
Ha You-Jung
Kang Eun-Ha
Lee Yun-Jong
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Abstract
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Behcet syndrome (BS) is a chronic inflammatory disease with multiorgan manifestations. However, muscular involvement in BS has rarely been reported. Herein, we report the case of a 30-year-old male with BS who had recurring pain and swelling of the lower legs. The patient was administered antibiotics on several occasions as the condition was misinterpreted to be infectious myositis. Magnetic resonance imaging revealed myofascial involvement with focal necrotic lesions, and muscle biopsy revealed acute suppurative myositis with perivascular infiltration of polymorphonuclear leukocytes. His symptoms improved after treatment with corticosteroids. Azathioprine and colchicine therapy was beneficial for preventing further relapse after short-term corticosteroid treatment. Therefore, BS should be considered in the differential diagnosis of focal suppurative myofasciitis.
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KEYWORD
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Case reports, Behcet syndrome, Myositis, Myalgia, Vasculitis
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